| San Antonio Digestive Disease Consultants Pa | |
|
1804 N.e. Loop 410 # 101 San Antonio TX 78217-5211 | |
| (210) 828-8400 | |
| (210) 804-4454 |
| Full Name | San Antonio Digestive Disease Consultants Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1804 N.e. Loop 410, San Antonio, Texas |
| Authorized Official Name and Position | Steven E Heame (CFO) |
| Authorized Official Contact | 2108288400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Digestive Disease Consultants Pa 1804 N.e. Loop 410 # 101 San Antonio TX 78217-5211 Ph: (210) 828-8400 | San Antonio Digestive Disease Consultants Pa 1804 N.e. Loop 410 # 101 San Antonio TX 78217-5211 Ph: (210) 828-8400 |
| NPI Number | 1437284460 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437284460 | NPI | - | NPPES |
| 084814501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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